Thursday, May 31, 2012

Mommy Makeover is a expression used by cosmetic or plastic surgeons to describe a specific combination of operations done at the same time. The goal of these surgeries is to bring back a woman’s shape as well as proportions to what she appreciated prior to the effect of pregnancy and nursing. Combining these procedures is something that has been practiced for quite some time. The technologies is not new, yet there's been improvement on the gold standard procedures because they are conducted within a single operative setting. There have been considerable upgrades in anesthesia, the reduction of loss of blood, and in prevention of major side effects, like thrombus leading to pulmonary embolism (blood clots which move and lodge in the respiratory system).
A Mommy Makeover combination usually encompasses a breast enlargement , a breast lift or occasionally both. In some instances, it can be a breast reduction. In addition to the breast surgery is a full abdominoplasty (tummy tuck) and liposuction for sculpting. Mommy Makeover procedures are customized to the individual patient’s needs.

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Mommy Makeover-Before and Aftet.

THE PROCEDURES

Breast Enhancement
It's quite common for a woman’s breasts to change shape and lose volume as a result of pregnancy and breast feeding. Breast augmentation is one of the most common procedures performed by plastic surgeons in the United States today , and either saline or silicone implants will restore fullness to the breasts. Breast enhancement is the simplest breast procedure for a Mommy Makeover due to the small incision and minimal recovery time. Refer to the flow chart to determine if breast augmentation is the best solution.
Breast Lift
1. A breast lift (mastopexy) moves the breast higher on the chest wall
2. Short Scar or lollipop incision
3. Peri-areolar incision, although this approach usually requires a breast implant, as it can have a flattening effect.
A breast lift is indicated when the nipples have moved into a lower location, and may even be pointing downward, rather than in a forward position. The type of lift that is chosen is dependent on the distance the nipple-areolar complex needs to be elevated and the amount of loose skin that is present. The purpose of a breast lift is to give the breasts a more youthful configuration.
Breast Augmentation with a Lift
In order to reclaim or add fullness to their breasts, some women will opt for breast augmentation to be done in addition to a breast lift. The impact of pregnancy and breastfeeding on the breasts often results in decreased breast volume. A breast lift alone may not achieve the volume a women desires and this is when breast implants provide the best solution. Breast implants can be added to any of the above breast lift techniques. The outcome will be elevated youthful breasts with breast volume individually adjusted for each woman.
Breast Reduction
A woman with very large breasts prior to her pregnancy may find her breasts have retained their size, but have a less attractive, more elongated shape after pregnancy. Many of these women choose to have a breast reduction with their Mommy Makeover. For these women, a breast reduction will create breasts that are smaller, roundly shaped, and lifted. In some cases, the breast reduction portion of the Mommy Makeover may be covered by health insurance.
Abdominoplasty (Tummy Tuck)
The Tummy Tuck is the core procedure of the Mommy Makeover, as the appearance of the abdomen is usually the primary concern of the patient. Pregnancy expands the abdominal wall and irreversibly stretches out the skin. This results in a protruding abdomen with loose skin that is scarred with stretch marks and often a misshapen belly button. Multiple pregnancies and twin pregnancies only amplify these changes. If a c-section was performed, this can lead to further distortion of the abdomen. With time, some c-section scars will develop an over-hanging ledge of fatty skin and tissue. The Tummy Tuck procedure will create a new incision, revise any unsightly c-section scarring, tighten the internal abdominal wall, create a more attractive belly button, and eliminate any looseness of the abdominal skin. At least some of the stretch mark scars will be eliminated with the excision of excess skin that is part of the Tummy Tuck procedure. The result is dramatic and long lasting.

Liposuction
Liposuction is performed in conjunction with the Tummy Tuck to accentuate the waist and add definition to the abdomen. This is a crucial part of any Mommy Makeover. A nicely contoured waist blends into the flattened abdomen in a natural way. Likewise, a narrowed waist complements the proportions created by the breast procedure. The result is a body which looks much like what the patient had prior to her pregnancy or pregnancies.
Recovery
The patient will have difficulty standing up straight for about a week due to the skin being stretched and snugly sewn. As the patient is increasingly able to stand upright, the abdomen takes on a firm, contoured appearance. Bruising will be present for about two weeks, though swelling tends to persist a few weeks longer and is dependent on the amount of liposuction performed. Pain medication, and very often a pain pump, is provided by the surgeon for pain management. It can take up to six months before the final surgical outcome is completely evident.
The Mommy Makeover constitutes one of the most difficult recoveries in the realm of cosmetic plastic surgery. Comprehensive pre-operative and post-operative education of the patient and her family are essential for a smooth and successful recovery. The early issues are pain control, early ambulation, and management of the dressings and drains. By the second week, the patient is fairly comfortable with walking, eating, and travel to the doctor’s office for appointments. With the third week will come the biggest advances towards the patient’s return to her normal activities. She will be able to drive, return to work, and perform most household tasks. Once six weeks of recovery have been completed, the patient can resume formal exercise, if desired.﻿﻿﻿

Mommy Makeover-Breast Surgery and Tummy Tuck

Risks
As with all surgeries, there are risks involved. The risks include bleeding, infection, small issues with the incision or belly button, or the side effects of general anesthesia. The most feared complication is blood clots (thromboembolism) and the spreading of blood clots to the lungs (pulmonary embolus). This complication has caused death, and therefore, plastic surgeons take great care in preparing the patient for surgery and educating the patient and family. Not all patients are candidates for the procedures being performed in one surgical setting. Depending on the patient’s health and preferences, the procedures may be completed in two stages.

Costs
Mommy Makeover costs vary greatly, depending on the geographical location of the patient and the varying combinations of the procedures performed. Generally speaking, the most basic Mommy Makeover procedure will cost about $18,000, with more complicated and extensive procedures .

About Me

Dr. Miguel Delgado, M.D. is a
top-quality Cosmetic and Plastic Reconstructive surgeon in the San Francisco
Bay Area.His keen artistic skill and
dedication to concierge patient care create the natural-looking surgical result
that is his hallmark. Dr. Delgado has achieved the highest educational and
training credentials during his 25 years of performing cosmetic surgery. He
performs various types of facelifts, eyelid lifts and endoscopic brow lift
procedures to fit patient needs and desires. He has performed many "Mommy Makeovers” and has been filmed by a
London TV station. He is a breast implant revision specialist and has performed
many breast augmentation surgeries.Dr. Delgado performs many tummy tucks and liposuction procedures.He has
become a Gynecomastia (male breast reduction) specialist who treats patients
from around the United States and throughout the world. Dr. Delgado has
produced over 60 videos about these procedures which can be viewed on his website or YouTube